Earl, Bradley David
Earl, Bradley David is an individual health care provider with primary practice located at 823 E Colonial Ave , Moses Lake WA 98837-4611. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Earl, Bradley David can be contacted via phone (509) 765-7853.Contact Information
Primary practice address
823 E Colonial Ave
Moses Lake WA 98837-4611
Phone: (509) 765-7853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE60858168 | Washington |
Profile Details
| NPI number | 1699252569 |
|---|---|
| LBN Legal business name | Earl, Bradley David |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2018 |
| Last updated | Jul 24th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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